Organization Active NPI

Sinus and Allergy Institute PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Ridgeland, MS
National Provider Identifier
1184165102
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
18626 Issued in MS
Legal business name
SINUS AND ALLERGY INSTITUTE PLLC
Practice address
1115 Highland Colony Parkway
Suite C
Ridgeland, MS 39157
Phone
(662) 769-5006
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer R Davis
Title
Office Manager
Phone
(662) 769-5006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 18626 MS Primary

Addresses

Primary practice location

1115 Highland Colony Parkway
Suite C
Ridgeland, MS 39157

Mailing address

PO Box 3114
Ridgeland, MS 39158-3114
Phone (662) 769-5006

National Provider Directory

National Provider Directory

Locations

1115 Highland Colony Pkwy
Ste C
Ridgeland, MS 39157
Phone (662) 769-5006

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1184165102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3114",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391583114",
            "telephone_number": "662-769-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HIGHLAND COLONY PARKWAY",
            "address_2": "SUITE C",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "662-769-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINUS AND ALLERGY INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-769-5006"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MS",
            "license": "18626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.